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Kaftrio ® has been available for the treatment of cystic fibrosis in patients aged 12 years and older since 1 September 2020. This follows a pricing agreement with the manufacturer. There is provision in the access policy and pricing agreement for expanding access to Kaftrio ® as licence extensions are granted by the Medicines and Healthcare products Regulatory Agency (MHRA). The most recent extension in January 2022 allows for Kaftrio ® to be used in children aged 6 to 11 years.

This means that clinicians - working in cystic fibrosis treatment centres - can now prescribe Kaftrio ® for younger patients whom they consider will benefit from its use.

Current guidance is being reviewed in collaboration with the sector, taking into account advice provided by the Covid-19 Advisory Sub-Group on Colleges and Universities. The Scottish Government’s 4 Harms approach ensures that the fullest range of impacts is taken into account in developing measures or guidance in all sectors, including for universities and colleges. Some students will already be receiving full time in-person teaching in line with our advice to prioritise students whose qualifications/progression are at risk. It is also for institutions to determine an appropriate balance between online and in-person teaching where that focuses on the reduction and management of risk and a cautious approach to keep people safe.

The Scottish Government recognises that COVID-19 is an unprecedented global crisis, leaving no part of the world unaffected. Although Scotland is not a member of the COVAX scheme, we will continue engaging with the UK Government on that matter. On 8 December, the First Minister wrote to the Prime Minister to urge the UK government to end its opposition at the World Trade Organisation and to join over 100 countries who are now supportive of a temporary Trade-related Aspects of Intellectual Property Rights waiver.

We have also provided international development support to our partner countries to support their COVID-19 responses, including vaccine preparedness.

In December 2020 we provided international development funding to support vaccine preparedness and delivery, including £2M to UNICEF in 2020 to help vaccine distribution, roll-out and online healthcare education in our partner countries.

In September 2021, we provided £250,000 from our international development fund to leverage the provision to our partner countries of £11.2 million worth of PPE – our single biggest ever donation – to aid COVID responses as part of our strategic response.

In February 2022 we provided £1.5m to UNICEF to support equal access to COVID-19 vaccines in our partner countries. The funds will support vaccination programmes in Rwanda, Zambia and Malawi, their provision of safe oxygen supplies, and help the agency deliver equipment, resources and technical support in response to the pandemic.

The contract with KPMG to construct the business case for the National Care Service has not been suspended.

The Heart Disease Action Plan outlines our commitment to exploring innovative models of care for cardiac diagnosis. Through the Heart Disease Action Plan Funding call in 2021, we provided funding for a second NHS board to implement aspects of the OPERA study within its local service provision.

The learning from this will be fed into ongoing work by the Centre for Sustainable Delivery to better understand the opportunities for implementation of OPERA in other NHS Boards, through pathfinder work via the new Accelerated National Innovation Adoption pathway.

The 2022-23 draft budget provides £42.2 million to provide universal free school lunches to all children in primaries 4, 5 and special schools to 5 during school term-time. This is in addition to the £53 million per year for universal provision for pupils in primary 1 to 3 which has been in place since 2015. The 2022-23 draft budget includes a £30 million capital allocation for initial investment in school kitchens ahead of roll-out of free lunches to all primary school children (P1-P7) later in the parliamentary term. We will continue to work with our partners in local authorities to plan for the further expansion of free school lunch provision over the next academic year.

The draft budget also provides £21.75 million to provide support to free school meals eligible families during the school holidays.

There is no conflict of interest between existing Scottish Government Civil Servants and the specialist consultancy services procured from KPMG in a fair and open procurement exercise. The Scottish Government has a clear contract award and management processes in place to prevent conflicts of interest and to support the delivery of fit for purpose outcomes. This includes clear requirements for separation of duties between finance and procurement decisions.

Officials were informed that KPMG had withdrawn from bidding for UK government contracts on 17 December 2021.

The Scottish Government is committed to ensuring that all school-aged children and young people in Scotland have access to a digital device by the end of this parliament in 2026.

The following table shows how many school-aged children are in each local authority (as at September 2020) and how many devices have been distributed by councils using the £25m digital inclusion funding made available by Scottish Government in 2020-21.

Local authorities across Scotland have a range of approaches to provision of technology in schools, including some councils who have undertaken to provide cohorts of their school population with devices using their own budgets. We do not hold information centrally on those approaches, therefore, the table below only shows devices distributed through the funding made available by Scottish Government in 2020-21.